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Organization
RYAN WALLRICH DMD, PC
Active
Organization
RYAN WALLRICH DMD, PC
Active
Other names
Harbor Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN YOUNG WALLRICH DMD (DENTIST/OWNER)
(619) 405-5785
Entity
Organization
Contact information
Practice address
1310 ROSECRANS ST STE B, SAN DIEGO, CA 92106-4609
(619) 405-5785
Mailing address
2322 CAMINITO ANDADA, SAN DIEGO, CA 92107-1516
(619) 405-5785
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
100556
CA
Other
Enumeration date
04/13/2018
Last updated
05/02/2018
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